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EVERGRACE THERAPY LLC
NPI 1164292645
Clinic/Center - Adult Mental Health in Evergreen Park, IL

Active since January 04, 2024
10104 S UTICA AVE, EVERGREEN PARK, IL 60805(304) 280-6360 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergrace Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGRACE THERAPY LLC (NPI 1164292645) is a healthcare organization registered as an adult mental health in Evergreen Park, Illinois and active in the NPI registry since January 2024. The organization lists Samantha M Vazquez, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1164292645
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEVERGRACE THERAPY LLC
Location Address10104 S UTICA AVEEvergreen Park, IL 60805-3527
Mailing Address10104 S Utica AveEvergreen Park, IL 60805-3527 · (304) 280-6360
Phone(304) 280-6360
Organization SubpartNo
Authorized OfficialSamantha M VazquezOwner/psychotherapist · (304) 280-6360
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1164292645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
10104 S UTICA AVE, Evergreen Park, IL 60805
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SAMANTHA MARIE VAZQUEZ LCPC
Counselor (Mental Health)
10104 S UTICA AVE
EVERGREEN PARK, IL 60805
Cook County (304) 280-6360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergrace Therapy LLC's NPI number?

The NPI number for Evergrace Therapy LLC is 1164292645. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Evergrace Therapy LLC located?

Evergrace Therapy LLC is located at 10104 S Utica Ave, Evergreen Park, IL 60805. The listed phone number is (304) 280-6360.

What is Evergrace Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Evergrace Therapy LLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.